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Conservative Management of a Forearm Refracture With the Titanium Elastic Nailing System (TENS) In Situ in a 14-Year-Old Male: A Case Report.
Cureus
October 2024
Orthopaedics and Traumatology, University Hospital Galway, Galway, IRL.
This case report presents a 14-year-old male patient with a medical history of left nephrectomy for cystic nephroma and resolved hypertension, who sustained a right both-bone middle shaft forearm fracture while playing football. The injury was managed initially with manipulation under anesthesia, the insertion of the Titanium Elastic Nailing System (TENS), and the application of an above-elbow cast. Clinical and radiographic reviews confirmed fracture healing after seven weeks, allowing for cast removal and advising the patient to avoid contact sports.
View Article and Find Full Text PDFDoes Early Conversion to Below-elbow Casting for Pediatric Diaphyseal Both-bone Forearm Fractures Adversely Affect Patient-reported Outcomes and ROM?
Clin Orthop Relat Res
October 2024
Department of Orthopaedics and Sports Medicine, Erasmus University Medical Centre, Rotterdam, the Netherlands.
Article Synopsis
- - The study investigates the long-term effectiveness of converting from an above-elbow cast to a below-elbow cast for children with reduced, stable diaphyseal forearm fractures, analyzing if this transition affects clinical or radiological outcomes negatively over a follow-up period averaging 7.5 years.
- - A total of 128 pediatric patients were initially part of this research, but 31 were excluded, leaving 97 for the secondary analysis, which involved functional and radiographic assessments to determine outcomes.
- - The primary focus of the analysis is on forearm rotation compared to the healthy arm, with additional evaluations including standardized questionnaires to assess overall functional ability and any loss of motion.
Comparison of Short-Arm Immobilization and Long-Arm Immobilization in Conservatively Managed Distal Radius Fractures: A Meta-Analysis and Systematic Review.
Cureus
March 2024
Orthopedics and Traumatology, Cooper University Hospital, Camden, USA.
Distal radius fractures are often treated conservatively with immobilization. Immobilizing above the elbow limits forearm rotation, though recent literature has suggested the effects on radiographic or functional outcomes may be negligible. This systematic review and meta-analysis aimed to analyze the radiographic and functional outcome scores of distal radius fractures managed with short-arm (SA) immobilization and long-arm (LA) immobilization.
View Article and Find Full Text PDFArticle Synopsis
- Chondrosarcoma is rare in the distal radius, making early diagnosis via incisional biopsy crucial for effective treatment.
- The case involved a 35-year-old woman who had pain and swelling, leading to a diagnosis of dedifferentiated chondrosarcoma and subsequent surgical interventions, including marginal resection and fibular grafting.
- Despite these efforts, the patient faced recurrence and metastasis, ultimately resulting in amputations and her passing.
Improved forearm rotation even after early conversion to below-elbow cast for non-reduced diaphyseal both-bones forearm fractures in children: a secondary 7.5-year follow up of a randomized trial.
Acta Orthop
October 2023
Department of Orthopaedics and Sports Medicine, Erasmus MC, University Medical Centre Rotterdam.
Background And Purpose: previous RCT compared short-term results of above-elbow cast (AEC) with early conversion to below-elbow cast (BEC) in children with non-reduced diaphyseal both-bone forearm fractures. After 7 months both groups had comparable function. Our primary aim was to investigate whether forearm rotation improves or worsens over time.
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